Minnesota 2025-2026 Regular Session

Minnesota House Bill HF958 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		1.1 A bill for an act
2		-	1.2 relating to human services; ~~establishing~~ medical assistance coverage of psychiatric
3		-	1.3 collaborative care model ~~services~~; ~~appropriating money;~~ ~~proposing coding for new~~
4		-	1.4 ~~law in Minnesota Statutes, chapter 256B~~.
	2	+	1.2 relating to human services; providing medical assistance coverage of psychiatric
	3	+	1.3 Collaborative Care Model; amending Minnesota Statutes 2024, section 256B.0671,
	4	+	1.4 by adding a subdivision.
5	5		1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
6		-	1.6 Section 1. [256B.077] PSYCHIATRIC COLLABORATIVE CARE MODEL.
7		-	1.7 Subdivision 1.Definitions.(a) For the purposes of this section, the following terms have
8		-	1.8the meanings given.
9		-	1.9 (b) "Behavioral health care manager" means an individual who:
10		-	1.10 (1) is clinical staff;
11		-	1.11 (2) has formal education or specialized training in behavioral health;
12		-	1.12 (3) works under the oversight and direction of a treating medical provider;
13		-	1.13 (4) meets the qualifications for a mental health professional, mental health practitioner,
14		-	1.14or clinical trainee set forth in section 245I.04; and
15		-	1.15 (5) is directly employed by or working under contract for the treating medical provider.
16		-	1.16Behavioral health care manager includes a licensed addiction counselor or registered nurse
17		-	1.17with training and experience in behavioral health when treating a substance use disorder.
18		-	1.18 (c) "Eligible individual" means an individual diagnosed with a mental illness, substance
19		-	1.19use disorder, or other behavioral health condition by a treating medical provider.
	6	+	1.6 Section 1. Minnesota Statutes 2024, section 256B.0671, is amended by adding a subdivision
	7	+	1.7to read:
	8	+	1.8 Subd. 14.Psychiatric Collaborative Care Model.(a) Medical assistance covers the
	9	+	1.9psychiatric Collaborative Care Model for clients.
	10	+	1.10 (b) "Psychiatric Collaborative Care Model" means the evidence-based, integrated
	11	+	1.11behavioral health service delivery method described at Federal Register, volume 81, page
	12	+	1.1280230, provided through a formal collaborative arrangement among a primary care team
	13	+	1.13consisting of a primary care provider, a care manager, and a psychiatric consultant. The
	14	+	1.14psychiatric Collaborative Care Model includes but is not limited to the following elements:
	15	+	1.15 (1) care directed by the primary care team;
	16	+	1.16 (2) structured care management;
	17	+	1.17 (3) regular assessments of clinical status using validated tools; and
	18	+	1.18 (4) modification of treatment as appropriate.
	19	+	1.19 (c) Medical assistance covers the psychiatric Collaborative Care Model for clients when
	20	+	1.20the following Current Procedural Terminology or Healthcare Common Procedure Coding
	21	+	1.21System billing codes are used:
20	22		1Section 1.
21		-	REVISOR AGW ~~H0958-1~~~~HF958 FIRST ENGROSSMENT~~
	23	+	REVISOR AGW/BM 25-0079512/02/24
22	24		State of Minnesota
23	25		This Document can be made available
24	26		in alternative formats upon request
25	27		HOUSE OF REPRESENTATIVES
26	28		H. F. No. 958
27	29		NINETY-FOURTH SESSION
28		-	Authored by Nadeau, Bierman, Backer, Perryman, Elkins and others02/17/2025
29		-	The bill was read for the first time and referred to the Committee on Health Finance and Policy
30		-	Adoption of Report: Amended and re-referred to the Committee on Human Services Finance and Policy03/03/2025 2.1 (d) "Initial psychiatric collaborative care management" means psychiatric collaborative
31		-	2.2care management directed by the treating medical provider, including the following with
32		-	2.3appropriate documentation:
33		-	2.4 (1) outreach and engagement;
34		-	2.5 (2) initial assessment;
35		-	2.6 (3) development of an individualized treatment plan;
36		-	2.7 (4) review of a treatment plan by a psychiatric consultant;
37		-	2.8 (5) entry into the patient registry; and
38		-	2.9 (6) brief interventions using evidence-based techniques.
39		-	2.10 (e) "Psychiatric collaborative care model services" means medical services provided
40		-	2.11under an evidence-based model of behavioral health integration that utilizes behavioral
41		-	2.12health care management and psychiatric consultation provided through a formal collaborative
42		-	2.13arrangement among a primary care team consisting of a primary care provider, a care
43		-	2.14manager, and a psychiatric consultant. Psychiatric collaborative care model services include
44		-	2.15but are not limited to initial and subsequent psychiatric collaborative care management.
45		-	2.16 (f) "Psychiatric consultant" means an individual who:
46		-	2.17 (1) is qualified as a licensed physician, psychiatrist, medical professional specializing
47		-	2.18in addiction medicine, advanced practice registered nurse, or a physician assistant;
48		-	2.19 (2) is directly employed by or working under contract for the treating medical provider;
49		-	2.20and
50		-	2.21 (3) supports the treating medical provider and behavioral health care manager in the
51		-	2.22patient's treatment.
52		-	2.23 (g) "Subsequent psychiatric collaborative care management" means psychiatric
53		-	2.24collaborative care management directed by the treating medical provider, including the
54		-	2.25following with appropriate documentation:
55		-	2.26 (1) tracking individual follow-up and progress using the registry;
56		-	2.27 (2) weekly caseload consultation with the psychiatric consultant;
57		-	2.28 (3) collaboration and coordination of the individual's behavioral health care with the
58		-	2.29treating medical provider and any other treating behavioral health providers;
59		-	2.30 (4) review of progress and recommended treatment modifications, including medication
60		-	2.31management;
	30	+	Authored by Nadeau, Bierman, Backer and Perryman02/17/2025
	31	+	The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1 (1) 99492;
	32	+	2.2 (2) 99493;
	33	+	2.3 (3) 99494;
	34	+	2.4 (4) G2214; and
	35	+	2.5 (5) G0512.
	36	+	2.6 EFFECTIVE DATE.This section is effective July 1, 2025, or upon federal approval,
	37	+	2.7whichever is later. The commissioner of human services shall notify the revisor of statutes
	38	+	2.8when federal approval is obtained.
61	39		2Section 1.
62		-	REVISOR AGW H0958-1HF958 FIRST ENGROSSMENT 3.1 (5) brief interventions using evidence-based techniques; and
63		-	3.2 (6) monitoring of individual outcomes with (i) routine use of clinically appropriate and
64		-	3.3culturally responsive validated rating scales, and (ii) relapse prevention planning with
65		-	3.4individuals as they achieve remission of symptoms or other treatment goals and are prepared
66		-	3.5for discharge from active treatment.
67		-	3.6 (h) "Treating medical provider" means a primary care physician, advanced practice
68		-	3.7registered nurse, or physician assistant that bills for psychiatric collaborative care services
69		-	3.8and oversees all aspects of the individual's health care working in collaboration with the
70		-	3.9individual's behavioral health care manager and psychiatric consultant.
71		-	3.10 Subd. 2.Psychiatric collaborative care model covered.Medical assistance covers
72		-	3.11psychiatric collaborative care model services for eligible individuals.
73		-	3.12 Subd. 3.Psychiatric collaborative care provider requirements.A provider must meet
74		-	3.13the following conditions to be eligible for reimbursement under this section:
75		-	3.14 (1) be an enrolled provider in the Minnesota Health Care Programs;
76		-	3.15 (2) attest that care will be delivered consistent with the core principles and fidelity to
77		-	3.16the psychiatric collaborative care model in the manner determined by the commissioner;
78		-	3.17 (3) provide a primary care or behavioral health service covered by medical assistance;
79		-	3.18 (4) utilize an electronic health record;
80		-	3.19 (5) utilize an electronic patient registry that contains relevant data elements;
81		-	3.20 (6) have policies and procedures to track referrals to ensure that the referral meets the
82		-	3.21individual's needs;
83		-	3.22 (7) conduct subsequent psychiatric collaborative care management;
84		-	3.23 (8) agree to cooperate with and participate in the state's monitoring and evaluation of
85		-	3.24psychiatric collaborative care model services in the manner determined by the commissioner;
86		-	3.25and
87		-	3.26 (9) obtain the individual's verbal or written consent to begin receiving psychiatric
88		-	3.27collaborative care model services and to consult with relevant specialists in the manner
89		-	3.28determined by the commissioner.
90		-	3.29 Subd. 4.Expressly allowable sites.Sites eligible to bill for services provided under this
91		-	3.30section include but are not limited to federally qualified health centers and rural health
92		-	3.31centers.
93		-	3Section 1.
94		-	REVISOR AGW H0958-1HF958 FIRST ENGROSSMENT 4.1 Subd. 5.Payments.The commissioner must make payments to the treating medical
95		-	4.2provider at the current Medicare reimbursement rate.
96		-	4.3 Subd. 6.Evaluation.(a) The commissioner must identify and collect data and outcome
97		-	4.4measures from providers of psychiatric collaborative care model services.
98		-	4.5 (b) The commissioner must review the rates required under subdivision 5 on a regular
99		-	4.6basis to ensure adequate sustainability.
100		-	4.7 (c) The commissioner's findings under this subdivision may be used to establish provider
101		-	4.8standards, modify services and eligibility, or recommend funding for provider learning
102		-	4.9communities.
103		-	4.10 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
104		-	4.11whichever is later. The commissioner of human services shall notify the revisor of statutes
105		-	4.12when federal approval is obtained.
106		-	4.13 Sec. 2. APPROPRIATIONS.
107		-	4.14 (a) $500,000 in fiscal year 2026 and $500,000 in fiscal year 2027 are appropriated from
108		-	4.15the ....... fund to the commissioner of human services for grants that cover start-up and
109		-	4.16capacity building costs of implementing a psychiatric collaborative care model including
110		-	4.17but not limited to training for providers, establishing a required patient registry, and enrolling
111		-	4.18initial patients.
112		-	4.19 (b) This section expires June 30, 2035.
113		-	4Sec. 2.
114		-	REVISOR AGW H0958-1HF958 FIRST ENGROSSMENT
	40	+	REVISOR AGW/BM 25-0079512/02/24